Apparatus for use in isothermal amplification

ABSTRACT

A method of monitoring amplification of a nucleic acid by providing a nucleic acid and an amplification mixture using the kit of isothermal reagents to a pH sensor or pH indicator,

FIELD OF THE INVENTION

The present invention relates to a method and kit for amplifying aquantity of nucleic acid. The invention is particularly relevant toisothermal amplification techniques. The amplified nucleic acid may bedetected by a sensor.

BACKGROUND

When performing genetic analysis, there is generally a need to amplifythe number of copies in the sample, as the number present in the sampleis generally too few to be detected.

This can be done using, for example, thermocycling or isothermalamplification.

Isothermal techniques include SDA, LAMP, SMAP, ICAN, SMART. The reactionproceeds at a constant temperature using strand displacement reactions.Amplification can be completed in a single step, by incubating themixture of samples, primers, DNA polymerase with strand displacementactivity, and substrates at a constant temperature. In one technique,called Loop-mediated isothermal amplification (LAMP), target-specificamplification is achieved by the use of 4 to 6 different primersspecifically designed to recognize 6 to 8 distinct regions on the targetgene, respectively. LAMP is further described in Eiken Chemical's patentEP2045337 ‘Process for synthesizing nucleic acid’, incorporated here byreference.

Such methods typically amplify nucleic acid copies 10⁹-10¹⁰ times in15-60 minutes.

In addition to the primers, strand displacement techniques use Tris andsulphate compounds (such as MgSO4, NH4SO4) to maintain enzymefunctionality.

Tris is an organic compound (more formally known as tris (hydroxymethyl)aminomethane, with the formula (HOCH2)3CNH2). Strand displacementtechniques, such as LAMP, use Tris as a buffer, which maintain thereaction at the optimal pH.

The recommended concentration of Tris and Sulphates is 20 mM or more and12-20 mM respectively.

Once the nucleic acid is amplified, a nucleic acid assay requires asecondary detection technology such as spectrophotometry, turbidity, LFD(lateral flow dipsticks) or luciferase. However, such known techniqueshave drawbacks. Fluorescent reagents require labelling to allow UVfluorescence, making it expensive. Furthermore, reagents such as SYBRgreen binds to DNA making it inherently carcinogenic; the Ames Testshows it to be both mutagenic and cytotoxic. Also SYBR green is notspecific and attaches to any double stranded DNA thus increasingbackground signal. Turbidity measurements require expensiveinstrumentation to provide quantification. Lastly, the reagents used inLFD require secondary conjugation which is susceptible to non-specificdetection.

The existing isothermal techniques are not suitable for systemsemploying pH detection. Thus there is a need in the art for a kit andmethod for isothermally amplifying nucleic acids and efficientlydetecting them with a safe inexpensive device. Surprisingly, theinventors have found that the reagents used may increase the yield ofamplification.

SUMMARY OF THE INVENTION

According to a first aspect of the invention there is provided a kit ofreagents combinable to form a mixture for use in isothermally amplifyinga nucleic acid, the kit of reagents comprising: a magnesium salt, aquaternary ammonium salt, an alkali base.

The buffer capacity of the mixture may be set to less than an expectedconcentration of protons released during amplification divided by athreshold pH change to be detected by a sensor exposed to the mixture.

The buffer capacity of the mixture may be set to less than one half ofan expected concentration of protons released during amplificationdivided by a threshold pH change to be detected by a sensor exposed tothe mixture.

The threshold pH change to be detected may be the limit of detection ofsaid sensor.

The buffer capacity of the mixture at the operating conditions for theamplification may be less than 10 mM, preferably less than 5 mM, morepreferably less than 1 mM.

The concentration of buffering agents in the mixture may be less than 5mM, more preferably less than 3 mM, less than 2 mM, or less than 1 mM.

The concentration of sulphate compounds, if present, may be less than 15mM, preferably less than 10 mM, less than 8 mM, less than 5 mM, or lessthan 1 mM.

The concentration of the quaternary ammonium salt, preferably ammoniumchloride, is between 2 mM and 15 mM.

The concentration of the alkali base sets the pH of the mixture between6 and 9, preferably between 7 and 8.8, more preferably between 8.3 and8.6.

The alkali base is one of NaOH, KOH or LiOH.

There may also be one or more primers used in the amplification of thenucleic acid, which primers are allele specific such that amplificationindicates the presence of a target nucleic acid.

The isothermal amplification may be Strand Displacement amplification,preferably Loop-mediated isothermal amplification (LAMP).

The buffering capacity of the mixture may substantially mask theexpected amount of protons released in the absence of amplification.

There kit may also have a strand displacement enzyme, nucleotides, andprimers, preferably wherein at least one of these is stored separatelyfrom the remaining reagents. According to a second aspect of theinvention there is provided a method of using a kit of reagents forisothermal amplification a pH sensor or pH indicator, amplifying thenucleic acid using isothermal amplification; and detecting a change inpH due to the amplification using the pH sensor or pH indicator.

The pH indicator may be a colorimetric or fluorescent dye and the pHsensor may be an Ion Sensitive Field Effect Transistor (ISFET).

The method may determine a reaction time needed to change the pH of themixture greater than a predetermined amount of change and quantifying astarting concentration of the nucleic acid based on the reaction time.

The mixture may be in fluid communication with a reference electrode,preferably a Silver-Silver Chloride electrode.

The mixture may comprise one or more allele specific primers having atleast one base complementary to a target Single Nucleotide Polymorphism(SNP) of the nucleic acid, the method further comprising identifyingsaid at least one base of the nucleic acid depending on whetheramplification proceeds, as detected by the pH sensor or pH indicator.

The amplification may change the proton concentration of the mixture bymore than 10% of the buffer capacity of the mixture.

According to a third aspect of the invention there is provided a methodcomprising isothermally amplifying a nucleic acid using the novel kit ofreagents.

BRIEF DESCRIPTION OF THE DRAWINGS

Specific embodiments of the invention will now be described by way ofexample only with reference to the accompanying figures, in which:

FIG. 1 is a series of chemical reactions is a strand displacementamplification technique such LAMP;

FIG. 2 is a profile view of an ISFET exposed to a sample;

FIG. 3 is a profile view of a pH detection system;

FIG. 4 is a flowchart of a method to monitor amplification of a DNAsample for (option A) identifying the DNA or (option B) calculating thequantity of DNA;

FIG. 5 is a chart of buffering capacity of reagents in a normal LAMPrecipe;

FIG. 6 is chart showing the buffer capacity of different concentrationsof NH4Cl; and

FIG. 7 is a chart of a standard curve for quantification of DNA in asample.

Conventional LAMP amplification methods use DNA polymerases withdisplacement activity under standard assay conditions such as: 20 mMTris-HCl (pH8.8), 10 mM KCl, 10 mM (NH)4SO4, 2.5 mM MgSO4. 0.1% TritonX-100, 0.8M Betaine, DNA/RNA, dNTP and Bst polymerase.

The inventors found that these conventional reagents do not permitdetection by pH sensors primarily because of their ability to mask theproduction of protons during amplification.

Indeed, all these constituents have a different pKa which means theyhave a different impact on the buffer capacity of the mixture.

Among the above mentioned reagents, TrisHCI has the ability to absorbcounter ions (H+ and OH−) so as to help keep the solution at a stable pHlevel within a range optimal for the polymerase to act.

The inventors found that replacing TrisHCI with NaOH reduces the buffercapacity while setting the pH to where polymerase (such as Bst) canoperate. Moreover, NaOH makes the two strands in double-stranded DNAless stringently bound, allowing displacement polymerase to break themapart more easily, thus speeding up the reaction and increase theefficiency of the strand displacement enzyme.

Additionally, electronic sensors, such as ISFETs, use referenceelectrodes such as Platinum, Ag/AgCl, calomel, etc. Some of thesematerials, in particular Ag/AgCl electrodes, react with these standardreagents. For instance, with Ag/AgCl electrodes Tris forms a Tris-Agcomplex on the electrode which deteriorates the Ag/AgCl performance andSulphate-containing reagents can poison the Ag/AgCl electrode.

DETAILED DESCRIPTION

A preferred system using the present method comprises a pH sensor orindicator, microfluidic structure, a, nucleic acid sample, reagents, anda reference electrode when needed to set a voltage potential of thesample. The reagents and sample are combined into one fluid to enableamplification. Protons are released during amplification and the changein pH is measured with a pH sensor or indicator.

Preferably, the pH sensor or indicator is an ISFET (Ion Sensitive FieldEffect Transistor). This is shown in FIG. 3, wherein the pH sensor(s) 3may be one or more Ion Sensitive Field Effect Transistors (ISFET) on aCMOS microchip 7, having thereupon microfluidic chambers 8 defined byvoids in substrate 2. Reagents and nucleic acid sample may be combinedbefore or after being added to one or more chamber(s) exposed to theISFET(s). Each ISFET outputs an electrical signal which is monitored bya signal processor. The passivation layer of the ISFET can befunctionalised to be sensitive to protons (hydrogen ions). As thenucleic acid amplifies, protons will be released and be detected by thesignal processor as a change in the electrical output of the ISFET.

In an alternative embodiment, a pH indicator may be used to detectprotons released during amplification. For example, the pH indicator maybe a colorimetric or fluorescent dye, which changes optical propertiessuch as emitted wavelength from the dye as the pH of the contactingfluid changes. Examples of pH indicators include Fluorescein, Pyranine,and pHrodo dye (available from Life Technology).

The microfluidic structure may be a well, chamber, or channel to receivethe sample proximate the sensor or indicator and may comprise means fordelivering the sample to the sensor or indicator. The microfluidicstructure also helps reduce diffusion of protons away from the sensor orindicator. In the following embodiments, ISFETs are used to illustratethe pH detection scheme but other pH sensors could be used. The chambermay be defined by a cavity in a material such as SU-8, which isdeposited on top of the microchip and selectively etched away to leavesaid cavities.

FIG. 2 shows an ISFET with a floating gate and sensing layer made ofSilicon Nitride which is exposed to the fluid electrolyte. ISFETS arefurther described in patent US2004134798 (A1), incorporated herein byreference.

Preferably each ISFET generates a normalised output signal from thedifference between the ISFET and a reference signal. The referencesignal may be derived from another ISFET exposed to a negative controlreaction or a FET located on the chip but not exposed to fluctuating pH.Thus any common drift or noise on the chip will be cancelled by takingthe difference between these signals.

The preferred amplification reaction is an isothermal amplificationreaction, preferably a strand displacement reaction. As used herein, astrand displacement reaction is provided by a polymerase with stranddisplacement activity and reaction conditions where strand displacementis possible. Examples of strand displacement reactions include Stranddisplacement amplification (SDA), multiple displacement amplification(MDA), rolling circle amplification (RCA) or Loop mediated isothermalAmplification (LAMP).

As an example, the steps in the chemical reaction of the LAMP method areillustrated in FIG. 1. In step 1, a double stranded DNA template at anelevated temperature is in dynamic equilibrium. Primers F2 can anneal tothe single strand at the complementary position. In step 2 a polymerasewith strand displacement activity enables nucleotides to extend alongthe template from the 3′ end of F2. The incorporation of nucleotides isa reaction that has hydrogen ions (protons) as one of the by-products.In step 3, the F3 primer anneals to the F3c region on the template andbegins displacement of the strands. The top strand is synthesized instep 4 releasing further protons. The bottom strand becomes a singlestrand (step 5) which forms a stem-loop as F1c anneals to F1 at the 5′end in step 6. At the same time the BIP primers, anneal to the other endof the strand and nucleotide extend from B2, releasing more protons.Primer B3 displaces the strands and promotes extension to create thedouble strand shown in step 7. The structure in step 8 has a doubleended stem-loop from which continuous displacement and extension toamplify the template. As before the extension is associated with protonrelease.

The strand displacement polymerase used in the isothermal amplificationreaction described herein may be chosen from the group:phi29-DNA-Polymerase, Klenow DNA-Polymerase, Vent DNA Polymerase, DeepVent DNA Polymerase, Bst DNA Polymerase, 9oNm™ DNA Polymerase, andmutants and variants thereof.

The skilled person will appreciate that the optimal reagentconcentrations will depend on the selection of the polymerase and thatsome modification to the preferred reagents below will be normalpractice from knowledge of or experimentation with the polymerase.Guidance on appropriate conditions is available from the enzymemanufacturers.

Preferred Reagent Concentrations

The present method does not require any buffering agent and it ispreferable that minimal buffering agent is present. A buffering agent isa weak acid and its conjugate base used to maintain the acidity (pH) ofa solution near a chosen operating point such that the pH variesinsignificantly when a small amount of strong acid or base is added, orin the present case, when a small amount of protons are released duringthe incorporation of nucleotides. A buffering agent is a compound addedto a mixture having the primary purpose of providing buffering againstchanges in pH. As used herein, a compound whose primary purpose is otherthan buffering or whose buffering effect is much less than anothercompound in the mixture is not a buffering agent. Buffering agents fornucleic acid amplification reactions typically have a pKa value between6 and 8.5, and has a buffering range between 6 and 9. For example,ammonium (NH4+) has some buffering capability but its main purpose isnot to buffer the mixture and with a pKa of 9.24 operating in a mixtureof pH 8, it is not a very strong buffer compared to Tris.

The choice of buffering agent, enzyme, and initial pH of the system areinterdependent. For example, whilst the buffering agent may be one ofthe following common buffering agents TAPS, Bicine, Tris, Tricine,TAPSO, HEPES, TES, MOPS, PIPES, Cacodylate, SSC, and MES, in oneembodiment TRIS is used with BST enzyme at a pH of 8.5.

Preferably the concentration of buffering agent is less than 10 mM, morepreferably less than 8 mM, less than 5 mM, or less than 1 mM. Preferablythe buffering agent is Tris or Hepes.

To reduce the effect of poisoning on the reference electrode, theconcentration of sulphate compounds in the combined fluid is less than15 mM, preferably less than 10 mM, less than 8 mM, less than 5 mM, orless than 1 mM.

Ammonium chloride can be used instead of ammonium sulphate whilst stillallowing good amplification yield. More generally other quaternary saltscan be substituted for ammonium chloride. Quaternary ammonium salts arepositively charged polyatomic ions of the structure NR4+, where R is analkyl or aryl group. Guanidine hydrochloride and ammonium chloride areexamples of quaternary ammonium salts.

Preferably the range of concentration of quaternary ammonium salts inthe combined fluid is greater than 2 mM, 5 mM, or 8 mM. However,ammonium (NH4+) has some buffering capability, thus the finalconcentration of ammonium compounds, such as ammonium chloride, in thecombined fluid needs to be minimised whilst still maintaining optimalamplification yield. To reduce the buffering capacity, the concentrationof ammonium compounds in the combined fluid is less than 15 mM,preferably less than 10 mM.

Magnesium is useful in promoting nucleotide incorporation in thetemplate. The concentration of magnesium compounds, for examplemagnesium sulphate, in the combined fluid is preferably greater than 0.5mM, greater than 1 mM, greater than 2 mM, or greater than 4 mM. Theconcentration of magnesium ion in the combined fluid is dependent on theconcentration of dNTP, template and primers. In general, the preferredratio of dNTP to magnesium sulphate in the combined fluid is less than1:2, less than 1:3, less than 1:4 or less than 1:5.

Since high chloride concentration aids the Ag/AgCl electrode, monovalentsalt such as sodium chloride or potassium chloride is added, thechloride ion concentration being preferably more than 10 mM, more than20 mM, more than 30 mM, more than 40 mM or more than 50 mM. In oneembodiment, the chloride ion concentration in the fluid is between 40 mMand 60 mM.

To set the starting pH of the fluid an alkali base, such as NaOH, LiOHor KOH, is added to the fluid. The concentration of the alkali base isdesigned to set the pH of the combined solution between 6 and 9, morepreferably between 7 and 8.8, most preferably between 8 and 8.6, thesepH ranges being desirable for certain enzymes to operate. For Bstpolymerase, the preferred starting pH is more than 7, more preferablymore than 8.2 and less than 8.8, more preferably less than 8.6.

The concentration of other reagents may be kept at normal amounts. SeeNotomi T et. al. Nucleic Acids Res. 2000 Jun. 15; 28(12): E63. Forexample in one embodiment, the amount of Bst polymerase is at least 0.3Unit per microliter of combined fluid; the concentration of Betaine is0-1.5M, preferably 0.8M-1M; and the total concentration of primers isbetween 2 m and 6.2 uM.

The above reagent concentrations have been found to provide goodamplification yield and at the same time low buffering capacity suchthat a pH sensor can be used to detect protons released duringamplification of the nucleic acid.

The process can take place at a fixed temperature, reducing the sensorsignal drift associated with thermocycling, thus making the sensorsignals more stable. Additionally the process is highly compatible withsemiconductor platforms. For example, the optimal enzymatic temperaturecan be achieved and monitored with on-chip heating elements andtemperature sensors; there is less concern over thermal expansion andthermal fatigue associated with thermocycling; and the reagents arechosen so as not to affect the electrodes on the microchip.

Typically, isothermal methods require a set temperature, which isdetermined by the reagents being used. For example, in LAMP the enzymesfunction best between 60 and 65° C. Advantageously the reagents/bufferof preferred embodiments described herein enables a wider operatingtemperature.

Because isothermal amplification, unlike thermocycling, does not involvediscrete steps, each step doubling the DNA, it is difficult to estimatehow much amplification has taken place at a given time. As a result,such isothermal amplification methods normally encourage excessamplification with the side effect that the background (i.e.non-specific) amplification or fluorescent background level is veryhigh. The present method enables real time detection of theamplification process such that the process can be stopped whensufficient yield has been obtained. In the case where the present methodtakes place on a microchip, the fluid being monitored by a pH sensor andheated by elements in the chip surface, the temperature can be droppedor raised to a point where amplification becomes suspended. This ensuresthat there is sufficient desired DNA beyond the background DNA withoutwaiting unnecessarily to be sure that sufficient amplification hasoccurred.

The reagents are provided in the concentrations above when combined.Some reagents may be stored separately prior to mixing having their ownrequired conditions for stability. For example, the enzyme may be storedlong term in a moderately buffered solution separate from the otherreagents to ensure stability of the enzyme. Upon mixing with theremaining reagents, the buffering agent becomes sufficiently diluted soas not to significantly mask a pH change. In addition, primers forspecific genes of interest may be provided in a separate solution or ina lyophilized form. The conditions and pre-mix concentrations will beknown to or derivable by the skilled person in consideration of thereagent to be used.

Applications

As illustrated by the flowchart of FIG. 4, a DNA sample may be preparedand divided into one or more chambers or wells. Each chamber or well isexposed to an ISFET on a microchip. The DNA is combined with reagentsfor loop-mediated isothermal amplification. The following areindividually preferred reagents and concentrations, wherein thecombination is the most preferred kit of reagents:

-   -   Bst polymerase of at least 0.3 Unit per microliter;    -   a concentration of Betaine of 1M;    -   a total concentration of primers of 5 uM;    -   a concentration of Magnesium Sulphate of 5 mM;    -   a concentration of Tris of 1 mM;    -   a concentration of Ammonium Sulphate of zero;    -   a concentration of NaOH of 1.2 mM which sets the pH of the        combined fluid to 8.5 pH;    -   a concentration of Ammonium Chloride of 5 mM; and    -   a concentration of Potassium Chloride of 50 mM.

The ISFET signals are taken differentially with respect to a referenceFET and are monitored by a signal processor. The chamber and fluid isheated to 60° C. by heaters integrated with the microchip. After apredetermined reaction period, sufficient template amplification, ifpossible, should have occurred to be detected as a change in the ISFETsignal. The signal can also be continuously monitored to determine whenthe amplification and thus signal change has crossed a threshold amount.

Diagnostics

The method may be used to identify one or more bases in a nucleic acidstrand as illustrated, in a preferred embodiment, by option A of FIG. 4.The identification may be a single base or a unique sequence. In thecase where a unique sequence is identified, it is possible to identifycertain bases that are associated with medical conditions and thisknowledge of the bases can provide a method for diagnosis. Examples ofbases of interest include unique sequences, Single NucleotidePolymorphism (SNP), deletions, insertions, Short Tandem Repeats (STP)and mutations that may be inherited or somatically derived. Pathogendetection is also possible whereby the method may detect the presence ofan organism or strain of organism.

Primers used in the amplification such as the FIP (forward inner primer)and BIP (back inner primer) oligos can be designed to include or excludethe sequence, SNP, or STP region. In this way the amplification or lackthereof indicates the presence or absence of the base(s)/sequence to beidentified.

In the system shown in FIG. 1, two or more chambers or wells may be usedto perform concurrent amplification of the DNA. Each well has added toit a different set of primers, each set of primers being adapted todetect a different base in the sample DNA. The DNA will therefore onlyamplify in the presence of the complementary set of primers, producingprotons, whilst the others will not. Where only one chamber experiencesamplification, the DNA will be considered homozygous, i.e. havingidentical alleles (mutant or wildtype) on both genes. Where two chambersexperience amplification, the DNA will be considered heterozygous, i.e.having different alleles (mutant and wildtype) on the genes. One canthus determine the identity of the base(s) in the sample DNA bymonitoring the ISFETs signals to detect a fluctuation combined withknowledge of the primer set in the corresponding well. To reduce signalprocessing requirements, the signals from ISFETs can be compared inreal-time to output a signal representing the difference betweenamplification by-products in each well.

Quantification

The method may be used to quantify the amount of DNA in a sample asillustrated in FIG. 4, option B. The proton concentration at a giventime will be proportional to the quantity of DNA in the fluid and thecumulative quantity of previous protons generated and which have notdiffused away from the sensing area. By knowing the signal change fromthe start of the reaction at a given time and comparing this to astandard, one can determine the quantity of DNA in the sample at thestart of the amplification. Thus one works backwards from the currentquantity and time to determine the quantity of starting DNA in thesample.

The standard may be derived from a model, experimental data, or one ormore separate internal control reactions undergoing an amplificationreaction in parallel with the assay. The standard may be represented asa look-up-table on a storage medium or as a quantification equation in acomputer program. FIG. 7 shows an exemplary graph of DNA quantity versustime to detect that quantity. The graph can be interpolated orextrapolated or can be used to extract a best-fit equation through thedata to estimate DNA quantities once a reaction time has been measured.

The reaction time is the period from when amplification begins (i.e.when all reagents and conditions for amplification are present) to whenthe pH change becomes greater than a threshold. The pH change may bedetected by monitoring the pH sensor signal or pH indicator.

RNA

The present method may also be used to detect RNA template through theuse of a reverse transcriptase (RTase) enzyme such as avianmyeloblastosis virus (AMV RTase) together with DNA polymerase. cDNA canbe synthesized from template RNA and amplified with the presenttechnique and then detected using an pH sensor or indicator.

Buffer Capacity Optimisation

Whilst most compounds contribute some buffering capacity to the mixture,the total contribution is ideally minimised. However some minimal buffermay be required to stabilise the enzymes. Selection of the buffer agent(if present at all), total reagent buffer capacity, and concentrationsshould be made in consideration of the expected protons generated by theamplification reaction. The amount of protons generated will depend onthe amount of starting template, amplification conditions andamplification time (assuming excess nucleotides, enzyme and primers).The starting template will depend on the donor, type of biologicalsample taken and the amplification time may be chosen by the operator ormanufacturer of the test. However from a knowledge of the amplificationtime, biological sample type, and donor type, one can calculate anexpected amount (or range of amount) of protons to be generated.

The buffer capacity of the mixture can then be chosen such that a pHchange greater than a threshold amount will result from the expected (orlowest expected) proton generation due to amplification even in thepresence of the buffered mixture. The pH change threshold may be thelimit of detection of the sensor and associated circuitry.Alternatively, the pH change threshold may be 0.1 pH, more preferably0.2 pH, most preferably 0.5 pH.

Buffer capacity is defined by equation (I):

β=dn/d(p[H⁺])

-   -   wherein n is an amount of added OH− or H+, and d(p[H⁺]) is the        resulting infinitesimal change in the cologarithm of the        hydrogen ion concentration.

In an exemplary embodiment employing an ISFET having a lower detectionlimit of 0.5 pH, exposed to a 35 ul amplification reaction, whereinafter 30 minutes the experimental yield is 50 ug of amplicons. The totalprotons released from the amplicon yield will be approximately 2.17 mM(assuming the molecular weight of a base pair is 650 g/mole);

β=2.17 mM/>0.5

β<4.34 mM

thus the buffer capacity of the mixture should be set to less than 4.34mM in order to achieve a desired pH change of >0.5.

Table 1 below provides properties of common buffering agents with pKasat 25 C between 6.15 and 8.43. The concentration of these bufferingagents should be minimized in the reaction to achieve greater pH changein a shorter amplification reaction time. However, the buffering agentsmay be optionally provided to reduce background noise, stabilize theenzyme and/or stabilize the initial reaction. Table 2 provides acalculation of the effect of the buffer capacity of amplificationreactions suitable for Bst enzyme by varying the concentrations ofbuffer agents. As can be seen, a number of buffer options will satisfythe requirement above, having a buffer capacity of less than 4.34 mM(4340 uM). Each buffer agent and concentration listed in table 2satisfying this condition are individually preferable and consideredwithin the scope of this invention.

TABLE 1 Properties of various Buffer Agents Buffer pKa at Buffer Name25° C. Range Full Compound Name TAPS 8.43 7.7-9.1 3-{[tris(hydroxymethyl)methyl]amino}propanesulfonic acid Bicine 8.057.6-9.0 N,N-bis(2-hydroxyethyl)glycine Tris 8.06 7.5-9.0tris(hydroxymethyl)methylamine Tricine 8.05 7.4-8.8N-tris(hydromethyl)methylglycine TAPSO 7.635 7.0-8.23-[N-Tris(hydroxymethyl)methylamino]-2- hydroxypropanesulfonic AcidHEPES 7.48 6.8-8.2 4-2-hydroxyethyl-1-piperazineethanesulfonic acid TES7.4 6.8-8.2 2- {[tris(hydroxymethyl)methyl]amino}ethanesulfonic acidMOPS 7.2 6.5-7.9 3-(N-morpholino)propanesulfonic acid PIPES 6.76 6.1-7.5piperazine-N,N′-bis(2-ethanesulfonic acid) Cacodylate 6.27 5.0-7.4dimethylarsinic acid SSC 7 6.5-7.5 saline sodium citrate MES 6.155.5-6.7 2-(N-morpholino)ethanesulfonic acid

TABLE 2 Buffer capacity at various conditions Hepes @pH 9 8.5 8 7.5 7 40mM 8865 17121 23580 18235 20 mM 5199 8916 12071 9628 10 mM 3352 33674813 6317 5324  5 mM 3024 2451 2762 3440 3173 Tris @pH 9 8.5 8 7.5 7 40mM 19536.4 23631 16160 7809 20 mM 10535 12170 8361 4415 10 mM 4824 60356441 4462 2718  5 mM 3761 3785 3575 2512 1869 MOPS @pH 9 8.5 8 7.5 7 6.540 mM 5721 11589 21050 22871 14673 20 mM 3628 6149 10806 11946 8286 10mM 3051 2581 3430 5685 6483 5092  5 mM 2874 2058 2070 3124 3752 3496Bicine @pH 9 8.5 8 7.5 7 6.5 40 mM 23891 20371 10553 4791.26 3164 20 mM12713 10541 5558 2906 2531 10 mM 6139 7124 5626 3061 1963 2215  5 mM4418 4329 3168 1812 1492 2057

In some embodiments, the buffer capacity is reduced from the calculatedmaximum by a factor to ensure that sufficient pH signal is detected. Thebuffer capacity may be less than one-half, preferably less thanone-fifth, or less than one-tenth the maximum buffer capacity for whicha pH change due to an expected proton release from an amplificationreaction is detectable. Thus in the example above the buffer capacitymay be set to 1/10 of 4.34 mM, i.e. 0.434 mM.

In one embodiment, the buffer capacity of the reagents in the fluid isarranged to mask a pH change that would otherwise result even in theabsence of successful amplification of the target nucleic acid. Thischange can be considered ionic background noise, which may result fromnon-specific amplification or spontaneous degradation and hydrolysis ofnucleotides, primers, or template. Non-specific amplification refers tonucleic acid amplification products that are not derived from thetargeted region of the template nucleic acid. Typically this resultsfrom primer-dimer formation and/or primers annealing to non-targetedregions of the template DNA.

In one embodiment, the total buffer capacity of the mixture is set suchthat background noise can be ignored. For example, the amount ofbackground noise that may be produced during the method can be estimatedor found from experiment and expressed as a change in pH. The buffercapacity of the reagents can be increased, beyond the minimal amountsuggested above for providing a low limit of detection, to an amountthat masks the background by absorbing the protons released or consumeddue to the background. Therefore no signal is detected by the pH sensoror indicator unless and until there is sufficient proton release whichshould thus correspond to specific nucleotide insertion for the targettemplate nucleic acid.

In one embodiment, a DNA sample and reagents are added to multiplemicrofluidic chambers. In an exemplary embodiment, the pH drop due tobackground in the absence of a buffer is estimated at 0.1 pH. A smallamount of buffer is provided to each chamber to mask this estimatedeffect. The sensor signal is monitored before, during, and after thechemical reactions take place. Only in the chamber(s) where there is anucleic acid amplification reaction releasing significant protons willthere be a detectable change in the sensor signal. Thus in oneembodiment the buffer capacity is greater than 0.5 mM.

Different reagents, such as allele specific primers, may be used todetect the presence or absence of genetic biomarkers on the sample. Thereaction may be amplification of DNA and the reagents may compriseprimers and nucleotides suitable for thermocycling or isothermalamplification. As amplification of target DNA proceeds in one or morechambers, protons are released beyond the estimated background effectmasked by the buffer. The pH change is detected as a change in thesensor signal.

1. A kit of reagents combinable to form a mixture for use inisothermally amplifying a nucleic acid, the kit of reagents comprising:a magnesium salt, a quaternary ammonium salt, and an alkali base.
 2. Thekit of claim 1, wherein the buffer capacity of the mixture is set toless than an expected concentration of protons released duringamplification divided by a threshold pH change to be detected by asensor exposed to the mixture.
 3. The kit of claim 1, wherein the buffercapacity of the mixture is set to less than one half of an expectedconcentration of protons released during amplification divided by athreshold pH change to be detected by a sensor exposed to the mixture.4. The kit of claim 2 or 3, wherein the threshold pH change to bedetected is the limit of detection of said sensor.
 5. The kit of anypreceding claim, wherein the buffer capacity of the mixture at theoperating conditions for the amplification is less than 10 mM,preferably less than 5 mM, more preferably less than 1 mM.
 6. The kit ofany preceding claim, wherein the concentration of buffering agents inthe mixture is less than 5 mM, more preferably less than 3 mM, less than2 mM, or less than 1 mM.
 7. The kit of any preceding claim, wherein theconcentration of sulphate compounds, if present, is less than 15 mM,preferably less than 10 mM, less than 8 mM, less than 5 mM, or less than1 mM.
 8. The kit of any preceding claim, wherein a concentration of thequaternary ammonium salt, preferably ammonium chloride, is between than2 and 15 mM.
 9. The kit of any preceding claim, wherein theconcentration of the alkali base sets the pH of the mixture between 6and 9, preferably between 7 and 8.8, more preferably between 8 and 8.6.10. The kit of any preceding claim, wherein the alkali base is one ofNaOH, KOH or LiOH.
 11. The kit of any preceding claim, furthercomprising one or more primers used in the amplification of the nucleicacid, which primers are allele specific such that amplificationindicates the presence of a target nucleic acid.
 12. The kit of anypreceding claim, wherein the isothermal amplification is StrandDisplacement amplification, preferably Loop-mediated isothermalamplification (LAMP).
 13. The kit of any preceding claim, wherein thebuffering capacity of the mixture substantially masks the expectedamount of protons released in the absence of amplification.
 14. The kitof any preceding claim, further comprising a strand displacement enzyme,nucleotides, and primers, preferably wherein at least one of these isstored separately from the remaining reagents.
 15. A method ofmonitoring amplification of a nucleic acid comprising the steps of:providing a nucleic acid and an amplification mixture using the kit ofreagents according to anyone of claims 1 to 14 to a pH sensor or pHindicator; amplifying the nucleic acid using isothermal amplification;and detecting a change in pH due to the amplification using the pHsensor or pH indicator.
 16. The method of claim 15, wherein the pHindicator is a colorimetric or fluorescent dye.
 17. The method of claim15, wherein the pH sensor is an Ion Sensitive Field Effect Transistor(ISFET).
 18. The method of any one of claims 15 to 17, furthercomprising: determining a reaction time needed to change the pH of themixture greater than a predetermined amount of change; and quantifying astarting concentration of the nucleic acid based on said reaction time.19. The method of any one of claims 15 to 18, wherein the mixture is influid communication with a reference electrode, preferably aSilver-Silver Chloride electrode.
 20. The method of any one of claims 15to 19, wherein the mixture comprises one or more allele specific primershaving at least one base complementary to a target Single NucleotidePolymorphism (SNP) of the nucleic acid, the method further comprisingidentifying said at least one base of the nucleic acid depending onwhether amplification proceeds, as detected by the pH sensor or pHindicator.
 21. The method of any one of claims 15 to 20, wherein theamplification changes the proton concentration of the mixture by morethan 10% of the buffer capacity of the mixture.
 23. A method comprisingisothermally amplifying a nucleic acid using the kit of anyone of claims1 to 14.